Fistula yesisu

I-fistula yamathumbu kukuvula okungaqhelekanga esiswini okanye emathunjini avumela imixholo ukuba ivuze.

• Ukuvuza okungena kwinxalenye yamathumbu kubizwa ngokuba yi-entero-enteral fistula.
• Ukuvuza okungena esikhumbeni kubizwa ngokuba yifistula engena ngaphakathi.
• Amanye amalungu angabandakanyeka, njenge-bladder, lobufazi, i-anus, kunye ne-colon.

Uninzi lwefistula zesisu zenzeka emva kotyando. Ezinye izizathu zibandakanya:

• Ukuvaleka emathunjini
• Usulelo (njenge-diverticulitis)
• Isifo seCrohn
• Imitha esiswini (edla ngokunikwa njengenxalenye yonyango lomhlaza)
• Ukwenzakalisa, njengamanxeba anzulu okuhlaba okanye ukuxhonywa
• Ukugwinya izinto ezinobungozi (ezifana ne-lye)

Kuxhomekeke kwindawo ekuvuza kuyo, ezi fistula zinokubangela urhudo, kunye nokufunxwa okungalunganga kwezakha mzimba. Umzimba wakho awunakuba namanzi kunye namanzi amaninzi njengoko ufuna.

• Ezinye iifistula azinakubangela zimpawu.
• Ezinye iifistula zibangela ukuba imixube yamathumbu ivuze ngokuvula esikhumbeni.

Uvavanyo lunokubandakanya:

• Ukugwinya kweBarium ukujonga esiswini okanye kwisisu esincinci
• I-enema ye-Barium ukujonga ikholoni
• Ukuvavanywa kwe-CT kwesisu ukukhangela i-fistula phakathi kweelogo zamathumbu okanye indawo yosulelo
• I-Fistulogram, apho idayi eyahlukileyo itofwe kulusu lwefistula kunye ne-x-ray zithathwa

Unyango lunokubandakanya:

• Amayeza okubulala iintsholongwane
• Amayeza okucinezela amajoni omzimba ukuba i-fistula sisiphumo sesifo sikaCrohn
• Utyando lokususa i-fistula kunye nenxalenye yamathumbu ukuba i-fistula ayiphili
• Ukutya okunesondlo ngomthambo ngelixa i-fistula iphilisa (kwezinye iimeko)

Ezinye iifistula zivala zodwa emva kweeveki ezimbalwa ukuya kwiinyanga.

Imbonakalo ixhomekeke kwimpilo yomntu iyonke kunye nendlela embi ngayo i-fistula. Abantu abaphilayo ngenye indlela banethuba elihle lokuchacha kwakhona.

I-Fistula inokubangela ukungondleki kunye nokuphelelwa ngamanzi emzimbeni, kuxhomekeke kwindawo ehlala kuyo emathunjini. Banokubangela iingxaki zolusu kunye nosulelo.

Shayela umboneleli wakho wezempilo ukuba unayo:

• Urhudo olubi kakhulu okanye olunye utshintsho olukhulu kwimikhwa yamathumbu
• Ukuvuza kolwelo oluvulekileyo esiswini okanye kufutshane ne-anus, ngakumbi ukuba usandula kutyandwa esiswini

I-entero-enteral fistula; I-fistula engena ngaphakathi; I-Fistula - isisu; Isifo seCrohn - fistula

• Inkqubo yokugaya ukutya
• Fistula

UDe Prisco G, uCelinski S, uSpak CW. Amathumbu esiswini kunye nefistula yamathumbu. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 29.

U-Li Y, u-Zhu W. I-Pathogenesis yesi sifo esinxulumene nesifo i-fistula kunye nethumba. Ku: Shen B, ed. Unyango lwezifo zesisu. ICambridge, MA: Elsevier Academic Press; I-2018: isahluko 4.

INussbaum MS, iMcFadden DW. Isisu, i-duodenal, kunye ne-fistula encinci yamathumbu. Ku: Ewe CJ, ed. Utyando lukaShackleford lweAlimentary Tract. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 76.